M/phmtrc alysishquant/semiq at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$67.41
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$246.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$27.06 with WCMG vs $250.36 with Cigna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| WCMG | Commercial|All Plans | $27.06 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $65.87 | ↓ -2% |
| United | Medicaid|> 21 | $65.87 | ↓ -2% |
| United | Medicaid|< 21 | $65.87 | ↓ -2% |
| Hill Physicians | Medicaid|All Plans | $72.46 | ↑ +7% |
| Western Health Advantage | Commercial|All Plans | $86.10 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $100.86 | ↑ +50% |
| United | Commercial|All Other Plans | $103.01 | ↑ +53% |
| United | Commercial|HMO | $103.01 | ↑ +53% |
| United | Commercial|Non-Options PPO | $103.01 | ↑ +53% |
| United | Commercial|Options PPO | $103.01 | ↑ +53% |
| Hill Physicians | Commercial|All Plans | $109.37 | ↑ +62% |
| Molina | Medicaid|All Plans | $123.84 | ↑ +84% |
| BCBS - Anthem | Medicaid|All Plans | $125.15 | ↑ +86% |
| Kaiser | Commercial|All Plans | $132.84 | ↑ +97% |
| Aetna | Commercial|HMO | $140.59 | ↑ +109% |
| Aetna | Commercial|PPO | $140.59 | ↑ +109% |
| Aetna | Commercial|All Other Plans | $140.59 | ↑ +109% |
| Health Net | Medicaid|All Plans | $150.84 | ↑ +124% |
| California Health & Wellness | Medicaid|All Plans | $150.84 | ↑ +124% |
| Healthsmart | Commercial|All Plans | $184.50 | ↑ +174% |
| First Health | Commercial|All Plans | $184.50 | ↑ +174% |
| Cigna | Commercial|LocalPlus | $187.76 | ↑ +179% |
| BCBS - Anthem | Commercial|Connection EPO | $196.80 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $196.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $204.18 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $246.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $246.00 | ↑ +265% |
| Cigna | Commercial|All Other Plans | $250.36 | ↑ +271% |
Visitor-reported prices
Comments
M/phmtrc alysishquant/semiq at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $124.49 | $108.69 – $286.15 |
| Mark Twain Medical Center | San Andreas | $68.88 | $26.76 – $101.36 |
| Mercy Hospitals – Bakersfield | Bakersfield | $50.46 | $65.87 – $243.64 |
| Bakersfield Memorial Hospital | Bakersfield | $49.91 | $65.87 – $243.64 |
| St. Joseph's Behavioral Health Center | Stockton | $77.66 | $13.60 – $108.80 |
| St. Joseph's Medical Center Stockton | Stockton | $39.99 | $28.56 – $496.65 |
| Mercy Medical Center Merced | Merced | $70.04 | $65.87 – $135.99 |
| Northridge Hospital Medical Center | Northridge | $24.82 | $22.24 – $302.34 |